A multi-country study of the associations between HIV vulnerability status, perception of COVID-19 related stigma and post-traumatic stress symptoms during the first wave of the pandemic.
| Title: | A multi-country study of the associations between HIV vulnerability status, perception of COVID-19 related stigma and post-traumatic stress symptoms during the first wave of the pandemic. |
|---|---|
| Authors: | Folayan, Morenike Oluwatoyin, Zuñiga, Roberto Ariel Abeldaño, Virtanen, Jorma I., Ellakany, Passent, Al-Tammemi, Ala'a B., Quadri, Mir Faeq Ali, Jafer, Mohammed, Ara, Eshrat, Ayanore, Martin Amogre, Gaffar, Balgis, Aly, Nourhan M., Idigbe, Ifeoma, Lusher, Joanne, Ezechi, Oliver C., Nguyen, Annie L, Tantawi, Maha El |
| Source: | BMC Public Health; 5/30/2023, Vol. 23 Issue 1, p1-10, 10p, 2 Charts |
| Subject Terms: | POST-traumatic stress, COVID-19 pandemic, HIV status, COVID-19, SOCIAL stigma |
| Abstract: | Background: This study investigated the associations between COVID-19 related stigma and post-traumatic stress symptoms (PTSS); and the associations between PTSS and COVID-19 related stigma, HIV status, COVID-19 status and key HIV population status. Methods: This was a secondary analysis of data of 12,355 study participants generated through an online survey that recruited adults from 152 countries between July and December 2020. The dependent variables were COVID-19-related stigma and PTSS. The independent variables were HIV status (positive/negative), transaction sex (yes/no), use of psychoactive drugs (yes/no), and vulnerability status (transaction sex workers, people who use psychoactive drugs, living with HIV, and COVID-19 status). The confounding variables were age, sex at birth (male/female), level of education, sexual minority individuals (yes/no) and country income level. Multivariable logistic regression analyses were conducted to determine associations between the dependent and independent variables after adjusting for confounders. Results: There were 835 (6.8%) participants who experienced COVID-19 related stigma during the pandemic and 3,824 (31.0%) participants reported PTSS. Respondents who were living with HIV (AOR: 1.979; 95%CI: 1.522–2.573), tested positive for COVID-19 (AOR: 3.369; 95%CI: 2.692–4.217), engaged in transactional sex (AOR: 1.428; 95%CI: 1.060–1.922) and used psychoactive drugs (AOR: 1.364; 95%CI: 1.053–1.767) had significantly higher odds of experiencing COVID-19 related stigma. Individuals with vulnerability status (AOR:4.610; 95%CI: 1.590-13.368) and who experienced COVID-19 related stigma (AOR: 2.218; 95%CI: 1.920–2.561) had significantly higher odds of PTSS. Conclusion: Individuals with vulnerability status may be at increased risk for COVID-19 related stigma. Key and vulnerable populations who were living with HIV and who experienced stigma may be at a higher risk of experiencing PTSS. Populations at risk for PTSS should be routinely screened and provided adequate support when they contract COVID-19 to reduce the risk for poor mental health during COVID-19 outbreaks and during future health crisis with similar magnitude as the COVID-19 pandemic. [ABSTRACT FROM AUTHOR] |
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| Database: | Complementary Index |
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| Items | – Name: Title Label: Title Group: Ti Data: A multi-country study of the associations between HIV vulnerability status, perception of COVID-19 related stigma and post-traumatic stress symptoms during the first wave of the pandemic. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Folayan%2C+Morenike+Oluwatoyin%22">Folayan, Morenike Oluwatoyin</searchLink><br /><searchLink fieldCode="AR" term="%22Zuñiga%2C+Roberto+Ariel+Abeldaño%22">Zuñiga, Roberto Ariel Abeldaño</searchLink><br /><searchLink fieldCode="AR" term="%22Virtanen%2C+Jorma+I%2E%22">Virtanen, Jorma I.</searchLink><br /><searchLink fieldCode="AR" term="%22Ellakany%2C+Passent%22">Ellakany, Passent</searchLink><br /><searchLink fieldCode="AR" term="%22Al-Tammemi%2C+Ala'a+B%2E%22">Al-Tammemi, Ala'a B.</searchLink><br /><searchLink fieldCode="AR" term="%22Quadri%2C+Mir+Faeq+Ali%22">Quadri, Mir Faeq Ali</searchLink><br /><searchLink fieldCode="AR" term="%22Jafer%2C+Mohammed%22">Jafer, Mohammed</searchLink><br /><searchLink fieldCode="AR" term="%22Ara%2C+Eshrat%22">Ara, Eshrat</searchLink><br /><searchLink fieldCode="AR" term="%22Ayanore%2C+Martin+Amogre%22">Ayanore, Martin Amogre</searchLink><br /><searchLink fieldCode="AR" term="%22Gaffar%2C+Balgis%22">Gaffar, Balgis</searchLink><br /><searchLink fieldCode="AR" term="%22Aly%2C+Nourhan+M%2E%22">Aly, Nourhan M.</searchLink><br /><searchLink fieldCode="AR" term="%22Idigbe%2C+Ifeoma%22">Idigbe, Ifeoma</searchLink><br /><searchLink fieldCode="AR" term="%22Lusher%2C+Joanne%22">Lusher, Joanne</searchLink><br /><searchLink fieldCode="AR" term="%22Ezechi%2C+Oliver+C%2E%22">Ezechi, Oliver C.</searchLink><br /><searchLink fieldCode="AR" term="%22Nguyen%2C+Annie+L%22">Nguyen, Annie L</searchLink><br /><searchLink fieldCode="AR" term="%22Tantawi%2C+Maha+El%22">Tantawi, Maha El</searchLink> – Name: TitleSource Label: Source Group: Src Data: BMC Public Health; 5/30/2023, Vol. 23 Issue 1, p1-10, 10p, 2 Charts – Name: Subject Label: Subject Terms Group: Su Data: <searchLink fieldCode="DE" term="%22POST-traumatic+stress%22">POST-traumatic stress</searchLink><br /><searchLink fieldCode="DE" term="%22COVID-19+pandemic%22">COVID-19 pandemic</searchLink><br /><searchLink fieldCode="DE" term="%22HIV+status%22">HIV status</searchLink><br /><searchLink fieldCode="DE" term="%22COVID-19%22">COVID-19</searchLink><br /><searchLink fieldCode="DE" term="%22SOCIAL+stigma%22">SOCIAL stigma</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background: This study investigated the associations between COVID-19 related stigma and post-traumatic stress symptoms (PTSS); and the associations between PTSS and COVID-19 related stigma, HIV status, COVID-19 status and key HIV population status. Methods: This was a secondary analysis of data of 12,355 study participants generated through an online survey that recruited adults from 152 countries between July and December 2020. The dependent variables were COVID-19-related stigma and PTSS. The independent variables were HIV status (positive/negative), transaction sex (yes/no), use of psychoactive drugs (yes/no), and vulnerability status (transaction sex workers, people who use psychoactive drugs, living with HIV, and COVID-19 status). The confounding variables were age, sex at birth (male/female), level of education, sexual minority individuals (yes/no) and country income level. Multivariable logistic regression analyses were conducted to determine associations between the dependent and independent variables after adjusting for confounders. Results: There were 835 (6.8%) participants who experienced COVID-19 related stigma during the pandemic and 3,824 (31.0%) participants reported PTSS. Respondents who were living with HIV (AOR: 1.979; 95%CI: 1.522–2.573), tested positive for COVID-19 (AOR: 3.369; 95%CI: 2.692–4.217), engaged in transactional sex (AOR: 1.428; 95%CI: 1.060–1.922) and used psychoactive drugs (AOR: 1.364; 95%CI: 1.053–1.767) had significantly higher odds of experiencing COVID-19 related stigma. Individuals with vulnerability status (AOR:4.610; 95%CI: 1.590-13.368) and who experienced COVID-19 related stigma (AOR: 2.218; 95%CI: 1.920–2.561) had significantly higher odds of PTSS. Conclusion: Individuals with vulnerability status may be at increased risk for COVID-19 related stigma. Key and vulnerable populations who were living with HIV and who experienced stigma may be at a higher risk of experiencing PTSS. Populations at risk for PTSS should be routinely screened and provided adequate support when they contract COVID-19 to reduce the risk for poor mental health during COVID-19 outbreaks and during future health crisis with similar magnitude as the COVID-19 pandemic. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Group: Ab Data: <i>Copyright of BMC Public Health is the property of BioMed Central and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1186/s12889-023-15933-z Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 10 StartPage: 1 Subjects: – SubjectFull: POST-traumatic stress Type: general – SubjectFull: COVID-19 pandemic Type: general – SubjectFull: HIV status Type: general – SubjectFull: COVID-19 Type: general – SubjectFull: SOCIAL stigma Type: general Titles: – TitleFull: A multi-country study of the associations between HIV vulnerability status, perception of COVID-19 related stigma and post-traumatic stress symptoms during the first wave of the pandemic. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Folayan, Morenike Oluwatoyin – PersonEntity: Name: NameFull: Zuñiga, Roberto Ariel Abeldaño – PersonEntity: Name: NameFull: Virtanen, Jorma I. – PersonEntity: Name: NameFull: Ellakany, Passent – PersonEntity: Name: NameFull: Al-Tammemi, Ala'a B. – PersonEntity: Name: NameFull: Quadri, Mir Faeq Ali – PersonEntity: Name: NameFull: Jafer, Mohammed – PersonEntity: Name: NameFull: Ara, Eshrat – PersonEntity: Name: NameFull: Ayanore, Martin Amogre – PersonEntity: Name: NameFull: Gaffar, Balgis – PersonEntity: Name: NameFull: Aly, Nourhan M. – PersonEntity: Name: NameFull: Idigbe, Ifeoma – PersonEntity: Name: NameFull: Lusher, Joanne – PersonEntity: Name: NameFull: Ezechi, Oliver C. – PersonEntity: Name: NameFull: Nguyen, Annie L – PersonEntity: Name: NameFull: Tantawi, Maha El IsPartOfRelationships: – BibEntity: Dates: – D: 30 M: 05 Text: 5/30/2023 Type: published Y: 2023 Identifiers: – Type: issn-print Value: 14712458 Numbering: – Type: volume Value: 23 – Type: issue Value: 1 Titles: – TitleFull: BMC Public Health Type: main |
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